WK11-STM

Question 1

What are the treatment goals of STM ?

Answer 1

increase pain threshold, improve mobility of soft tissue and connective tissue, stimulate circulation, improve flexibility, improve coordination, decrease neuromuscular excitability, restore joint mobility, remove lactic acid, improve motor firing

Question 2

Describe Effleurage:

Answer 2

a light, superficial, gliding over the skin

Question 3

Describe Petrissage:

Answer 3

consistent kneading the presses and rolls the muscle/fasca/ligament. Area is gently squeezed, lifted, and relaxed.

Question 4

Describe Knuckling:

Answer 4

use of dorsal surface of digits, MCPs, IPs for deeper stroking of area

Question 5

Describe Stripping:

Answer 5

use of thumb, supported digit, pisiform for deep focal stroking techniques for improving fascial mobility , tension , and adhesions

Question 6

Describe Fascial stretching:

Answer 6

stretching the fascia, longitudinally or perpendicularly

Question 7

Describe Skin rolling:

Answer 7

lift separate skin from underlying fascia and muscle in order to improve soft tissue mobility

Question 8

Describe strain counter strain:

Answer 8

clinician locates a tender point or muscle and moves the patient passively into a relaxed position for the area/muscle or tissue. It is maintained for 90 seconds

Question 9

Describe positional release:

Answer 9

begin with strain counter strain then add submax acupressure to trigger point.

Question 10

Describe trigger point massage:

Answer 10

using the tip of any digit or any other bony prominence to build circular strokes on trigger point

Question 11

Describe trigger point acupressure:

Answer 11

using the tip of any digit or any other bony prominence adding progressive central pressure for 60-90 seconds

Question 12

Describe active release:

Answer 12

same technique as acupressure for trigger point but will add additional movement above or below trigger points to allow tension/lengthening to occur.

Question 13

Describe cross friction massage:

Answer 13

placing tendon/muscle/scar on slight stretch and massage using progressive deep perpendicular strokes. Often painful.

Question 14

What are the contraindications for STM ?

Answer 14

malignant tumor, skin condition, open wound, acute inflammation, impaired sensation

Question 15

What are the precautions to STM?

Answer 15

circulatory dysfunction, abnormal end feel, joint effusion, presence of neurological sx, osteoporosis, pregnancy, dizziness, steroid or anticoagulant use

Question 16

A physical therapy intervention that addresses the underlying pathology is considered

Answer 16

corrective

Question 17

Mechanotransduction is where

Answer 17

the body converts mechanical forces into a cellular response which produces structural change

Question 18

Cross friction massage is often performed for ______ minutes or until the area becomes “numb”.

Answer 18

2-5 minutes or 7-10 minutes

Question 19

In general, the angle of the instrument used in instrument assisted soft tissue mobilization should be held between ___________ degrees to the skin.

Answer 19

30-60 degrees

Question 20

Duration of trigger point massage therapy is usually between ____________ per point.

Answer 20

60-90 seconds